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NPI 1821972886

NPI 1821972886 : SAMANTHA KRIGBAUM SMELTZER DMQ : YORK, PA

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General NPI Number Information
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    NPI Number           |    1821972886
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    Entity Type          |    Individual 
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    Provider Name        |    SAMANTHA KRIGBAUM SMELTZER DMQ
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/04/2025
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    Last Update Date     |    08/04/2025
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Provider Practice Location Address
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    Address Line         |    600 N HARTLEY ST STE 160 
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    City                 |    YORK
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    State                |    PA
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    Zip                  |    17404-2855
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    Country              |    US
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    Telephone            |    717-430-2850
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1298 DETWILER DR 
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    City                 |    YORK
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    State                |    PA
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    Zip                  |    17404-1124
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    Country              |    US
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    Telephone            |    717-818-8261
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2255A2300X
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    Taxonomy Name        |    Athletic Trainer
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    License Number       |    
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    License Number State |    
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